SANJAY SUWAL MD
NPI 1710339163
Internal Medicine in Huntington, WV

Q: What is Sanjay Suwal's NPI number?

The NPI number for Sanjay Suwal is 1710339163. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Sanjay Suwal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Suwal was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment

2900 1ST AVE RM 1025, HUNTINGTON, WV 25702(304) 399-7484(304) 399-7579 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2021, May 5, 2021, Jul 19, 2019 and 1 more (4 updates tracked since 2016).

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About Sanjay Suwal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANJAY SUWAL MD (NPI 1710339163) is an individual internal medicine provider in Huntington, West Virginia, licensed in West Virginia (28913) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710339163

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSANJAY SUWALCredential: MD

Location Address2900 1ST AVE RM 1025Huntington, WV 25702-1241

Mailing Address5170 Us Route 60Huntington, WV 25705-2004 · (304) 528-4600 · Fax (304) 399-0015

Phone(304) 399-7484

Fax(304) 399-7579

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 11, 2016

Last NPPES UpdateNovember 3, 20214 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1710339163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 28913

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2900 1ST AVE RM 1025, Huntington, WV 25702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sanjay Suwal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082958202

PECOS Enrollment IDI20190829001185

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

685 services231 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

299 services146 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

197 services186 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services53 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

33 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510048

Location20 Hospital DriveLogan, WV 25601 · Logan County

Emergency services Birthing friendly

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510055

Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers159 claims159 services$16.26 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers53 claims53 services$6.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers167 claims167 services$82.59 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers16 claims16 services$14.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE NICOLE PRICE PA-C

Physician Assistant